Dear Client,

The goal of this survey is to help us help you put your home on a path to greater efficiency, comfort and performance. Please spend as much or as little time as you like to answer the questions below.

When you submit the survey below, your answers will be e-mailed to us instantly.

Best regards, Dylan Chalk, Brent Foster and Aaron Campbell

Privacy concerns? We understand! Click here to review our official Privacy Policy.

Your First Name:
Your Last Name:
Mailing Address: (optional)
E-mail Address: (optional)
Phone Number: (optional)
  1. How many square feet is your home?
  2. What year was your home built?
  3. What is your average monthly gas / oil bill?
    (example: $54.00)
  4. What is your average monthly electric bill?
    (example: $54.00)
  5. What is your average monthly water bill?
    (example: $54.00)
  6. What is your heat source and method?
    (example: natural gas, forced air)
  7. How long have you owned your home?
    (example: 4 years, 6 months)
  8. What are your goals for home improvements you want to make in the near term and long term?
    Please describe in as much detail as you wish.
  9. On a scale of 1-10, 1 being the worst, what overall condition would you say your home is in?
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
  10. Using the same scale, how efficient do you feel your home is?
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
  11. How long do you plan on staying in your home?
    (example: 10 years)
  12. Are there systems or elements in your home that you are not satisfied with and wish were different, and if so, what are they?
  13. Do you have any concerns regarding indoor air quality?
    Yes No
  14. Have you had any leaks or water issues that you know of?
    Yes No
  15. Have you ever had the sewer scoped?
    Yes No
  16. Have you ever had sewer problems?
    Yes No
  17. Have you ever had the home inspected?
    Yes No
  18. If so, when?
    (example: 1996, June 1985, never)
  19. If so, do you still have the report?
    Yes No
  20. Are you aware of any home systems like the furnace or roof that may be in need of repair or replacement soon and if so, what are they?
  21. Are you considering a Solar (PV) upgrade or Solar Hot Water system upgrade?
    Yes No
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